A nurse is caring for a 5-year-old child who has nephrotic syndrome. Which of the following findings should indicate to the nurse that treatment has been effective?
Temperature 37.2° C (99° F)
Urine output 256 mL over 8 hr
Odorless urine
No report of pain with voiding
The Correct Answer is B
A. Temperature 37.2° C (99° F): A normal or slightly elevated temperature does not directly indicate improvement in nephrotic syndrome. While monitoring for infection is important due to immunosuppression risk, temperature alone is not a measure of treatment effectiveness.
B. Urine output 256 mL over 8 hr: Increased or adequate urine output indicates that the kidneys are responding to treatment and that edema and fluid retention are improving. Monitoring urine output is a primary indicator of therapeutic effectiveness in managing nephrotic syndrome.
C. Odorless urine: Urine odor is not a reliable indicator of nephrotic syndrome resolution. Proteinuria and edema reduction are more relevant markers of effective treatment than changes in urine smell.
D. No report of pain with voiding: Absence of dysuria is important for assessing urinary tract comfort but does not reflect resolution of nephrotic syndrome, which primarily involves proteinuria, hypoalbuminemia, and edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obtain a vertical height measurement: School-age children are measured standing upright to accurately assess linear growth and compare it with age-appropriate growth charts. Vertical height measurement reflects skeletal growth and is a key component of routine physical assessment in this age group.
B. Remove the child's eyeglasses before performing a visual acuity exam: Visual acuity testing should be performed with the child wearing corrective lenses if they are normally used. Removing eyeglasses would not reflect the child’s functional vision and may lead to inaccurate assessment findings.
C. Inspect the ear by pulling the pinna down and back: For school-age children and adults, the pinna should be pulled up and back to straighten the ear canal. Pulling the pinna down and back is appropriate only for children under 3 years of age.
D. Observe abdominal movement to determine the respiratory rate: Respiratory rate in school-age children is best assessed by observing chest movement. Abdominal observation is more appropriate in infants, who primarily use diaphragmatic breathing.
Correct Answer is C
Explanation
A. “You might tolerate plain milk better than chocolate milk.”: Both plain and chocolate milk contain lactose, and intolerance is related to lactose content rather than added flavoring. Changing the type of milk does not reliably reduce gastrointestinal symptoms associated with lactose intolerance.
B. “You can drink milk on an empty stomach”: Consuming milk on an empty stomach often worsens symptoms because lactose is rapidly delivered to the intestine without other foods to slow digestion. This can increase bloating, cramping, and diarrhea in individuals with lactose intolerance.
C. “You can replace milk with nondairy sources of calcium”: Nondairy calcium sources such as fortified soy or almond milk, leafy green vegetables, and calcium-fortified cereals help meet nutritional needs without causing symptoms. This approach supports bone health while avoiding lactose exposure.
D. “You should consume generous amounts of plain yogurt.”: Although yogurt may be better tolerated due to bacterial lactase, consuming generous amounts can still trigger symptoms in some adolescents. Tolerance varies, so recommending large quantities is not appropriate as a general guideline.
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